Vacation Bible School
June 17-20, 2008

Online Registration Form - Please submit by May 30, 2008
Fill in the blanks and click the Submit button below.
 

Child's Name:
Parent/Guardian:
Address:
Email Address:
Home phone:
Work phone:
Cell phone:
Date of birth: M/F:
Last grade completed: Age:
Home church:
Allergies/medication information or other concerns:
 
Emergency contacts:
Name: Phone:
Name: Phone:
List names of persons who may pick up this child from VBS each day:
 
Comments:
Are you willing to volunteer to help make VBS 2008 happen?: Yes No:
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